Active NPI
Lesley-Ann Bovell
- Speech-Language Pathologist
- Beltsville, MD
National Provider Identifier
1619358330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 07478
- Practice address
- 4600 Powder Mill Rd
Suite N
Beltsville, MD 20705-2675 - Phone
- (240) 522-6864
- NPI assigned
- Jun 18, 2015
- Last updated
- Nov 13, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP000482 | DC | |
| Speech-Language Pathologist | 235Z00000X | 07478 | MD | Primary |
Addresses
Primary practice location
4600 Powder Mill Rd
Suite N
Beltsville, MD 20705-2675
Mailing address
10610 Rhode Island Ave Ste 204
Beltsville, MD 20705-2500
Phone (301) 358-1128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 07478 | MD | MD | Psychologist |
| SLP000482 | DC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Therapy Connection, LLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Beltsville, MD
- NPI 1669854410
-
- Behavior Analyst
- Beltsville, MD
- NPI 1861906364
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1434585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510531200000",
"number": "1619358330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10610 RHODE ISLAND AVE STE 204",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052500",
"telephone_number": "301-358-1128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4600 POWDER MILL RD",
"address_2": "SUITE N",
"city": "BELTSVILLE",
"state": "MD",
"postal_code": "207052675",
"telephone_number": "240-522-6864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOVELL",
"first_name": "LESLEY-ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-18",
"last_updated": "2017-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "DC",
"license": "SLP000482",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MD",
"license": "07478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beltsville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.